License holder summary

Lutheran Imaging at Medical Office Building 1 is a Radiology - Radiation Facility Medical licensed to practice in Indiana. The address on file for Lutheran Imaging at Medical Office Building 1 is 7900 West Jefferson Boulevard, Suite 101, Fort Wayne IN 46804-4127. This licensed professional license is current. The license was granted 10/11/2005 and expired on 11/15/2014.

Indiana

Professional Licensing Agency

Lutheran Imaging at Medical Office Building 1
Radiology - Radiation Facility Medical
License number
XF200754
Date granted
10/11/2005
Date expires
11/15/2014
Class
Radiology - Radiation Facility Medical
Status
Active
Address
7900 West Jefferson Boulevard, Suite 101, Fort Wayne IN 46804-4127
indianalicensing.org
ID 24942098
LAST UPDATED 2024-03-29 13:46:27 UTC

This website is unaffiliated with the Professional Licensing Agency. Please verify all information directly with the relevant official government authority.

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